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Please help me with this : listing out the answers is fine, you don’t need to draw the concept map. Question: Develop a concept map. Identify and outline several nursing care priorities related to this case scenario and ensure you indicate either visually or by numbering the levels of prioritization for each concept or care aspect you outline. Also include lines and arrows to visually display relationships and connections among concepts. Include linking words with the lines to indicate the nature of the connection or relationship (That is: leads to influences, contributes to, results in, etc.) Include a full nursing care plan (nursing diagnosis, goals, 7 outcomes(smart), nursing interventions, evaluation statements) Case Scenario: A 65-years-old man, arrived at the ER with jaundice, complaints of itchiness and swelling in his legs and has a distended abdomen. He has been admitted with a medical diagnosis of Ascites. History of alcohol abuse x 20 years, Previous diagnoses of cirrhosis, Previous diagnosis of hepatitis C, Depression He has periodic lower extremity swelling Alert, oriented to person, place, year and month but not today. Neuro exam without motor or sensory deficits 3+ edema to mid-calf/pedal pulses barely palpable bilaterally Integumentary exam with a few spider telangiectasia on face and upper chest and his palms are reddened Patient stated that he has gained more than 5kg this month and has been lethargic Spleen is enlarged. He mobilizes very slowly and is unsteady on his feet . He also has stage 4+ tense ascites and has now been diagnosed with Hepatocellular Carcinoma (HCC). He received three vials of IV albumin 25%. He has been referred to an oncologist and gastroenterologist. He is verbalizing that he has taken the cancer news well. He is still a little confused as to what day of the week it is. His abdomen is not as distended since he had the paracentesis completed however his breathing hasn’t slowed down since the removal of abdominal fluid. His appetite has not changed and he doesn’t seem to eating or drinking very much. With the removal of 5L of fluid, His weight has now dropped by 6kg in this short time. His peripheral edema is still +4 and pedal pulses are present with the use of a Doppler and paresthesia is noted in feet bilaterally. His mobility is minimal as he finds it difficult to move around. He sometimes feels dizzy when he gets out-of-bed and is worried that he doesn’t remember which day it is. He has voiced concerns about the amount of fluid that is seeping through his lower legs, as he must have pads put under him to keep his bed dry and it wonders why they are still itchy. He has been embarrassed because he is experiencing uncontrolled diarrhea and has not made it to the toilet in time on several occasions.
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